Harris, Mark

Harris, Mark is an individual health care provider with primary practice located at 1169 Jefferson Ave , Memphis TN 38104-7217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Harris, Mark can be contacted via phone (901) 425-1880.

Contact Information

Primary practice address
1169 Jefferson Ave Memphis TN 38104-7217
Phone: (901) 425-1880
Fax: (901) 725-5768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 2878 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55126 Tennessee

Profile Details

NPI number 1336298900
LBN Legal business name Harris, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jan 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336298900 NPPES
Tennessee MEDICAID Q008613

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